EP2675451B9 - mTOR/JAK INHIBITOR COMBINATION THERAPY - Google Patents

mTOR/JAK INHIBITOR COMBINATION THERAPY Download PDF

Info

Publication number
EP2675451B9
EP2675451B9 EP12705608.3A EP12705608A EP2675451B9 EP 2675451 B9 EP2675451 B9 EP 2675451B9 EP 12705608 A EP12705608 A EP 12705608A EP 2675451 B9 EP2675451 B9 EP 2675451B9
Authority
EP
European Patent Office
Prior art keywords
compound
formula
mtor inhibitor
mtor
inhibitor
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
EP12705608.3A
Other languages
German (de)
English (en)
French (fr)
Other versions
EP2675451A1 (en
EP2675451B1 (en
Inventor
Alessandro M. VANNUCCHI
Costanza BOGANI
Paola Guglielmelli
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Novartis Pharma AG
Incyte Corp
Original Assignee
Novartis Pharma AG
Incyte Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=45755586&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=EP2675451(B9) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Novartis Pharma AG, Incyte Corp filed Critical Novartis Pharma AG
Priority to PL12705608T priority Critical patent/PL2675451T3/pl
Publication of EP2675451A1 publication Critical patent/EP2675451A1/en
Publication of EP2675451B1 publication Critical patent/EP2675451B1/en
Application granted granted Critical
Publication of EP2675451B9 publication Critical patent/EP2675451B9/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/436—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having oxygen as a ring hetero atom, e.g. rapamycin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/506—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A61P35/02—Antineoplastic agents specific for leukemia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid

Definitions

  • MPNs Myeloproliferative neoplasms
  • PV polycythemia vera
  • E essential thrombocythemia
  • CML chronic myelogenous leukemia
  • CCL chronic neutrophilic leukemia
  • JML juvenile myelomonocytic leukemia
  • HES chronic eosinophilic leukemia
  • disorders are grouped together because they share some or all of the following features: involvement of a multipotent hematopoietic progenitor cell, dominance of the transformed clone over the non-transformed hematopoietic progenitor cells, overproduction of one or more hematopoietic lineages in the absence of a definable stimulus, growth factor-independent colony formation in vitro, marrow hypercellularity, megakaryocyte hyperplasia and dysplasia, abnormalities predominantly involving chromosomes 1, 8, 9,13, and 20, thrombotic and hemorrhagic diatheses, exuberant extramedullary hematopoiesis, and spontaneous transformation to acute leukemia or development of marrow fibrosis but at a low rate, as compared to the rate in CML.
  • MPNs The incidence of MPNs varies widely, ranging from approximately 3 per 100,000 individuals older than 60 years annually for CML to 0.13 per 100,000 children from birth to 14 years annually for JML ( Vardiman JW et al., Blood 100 (7): 2292-302, 2002 ).
  • PMF Primary Myelofibrosis
  • PV/PET MF Post Polycythemia Vera/Essential Thrombocythemia Myelofibrosis
  • VANNUCCHI ALESSANDRO M ET AL "The mTOR Inhibitor, RAD001, Inhibits the Growth of Cells From Patients with Myeloproliferative Neoplasms", BLOOD; 51 ST ANNUAL MEETING OF THE AMERICAN-SOCIETY-OF-HEMATOLOGY, AMERICAN SOCIETY OF HEMATOLOGY, US; NEW ORLEANS, US, vol. 114, no.
  • JANES MATTHEW R ET AL "Effective and selective targeting of leukemia cells using a TORC1/2 kinase inhibitor.”
  • mTOR inhibitors everolimus RAD001
  • 2-(4-Amino-1-isopropyl-1H-pyrazolo[3,4-d]pyrimidin-3-yl)-1H-indol-5-ol PP242
  • myeloproliferative neoplasms such as primary myelofibrosis and post polycytemia vera/essential thrombocythemia myelofibrosis, chronic myeloid leukemia.
  • combination therapy comprising an mTOR inhibitor and a JAK inhibiton as defined in the appended claims.
  • the combination therapy is useful for the treatment of a variety of cancers, including MPNs.
  • the combination therapy is also useful for the treatment of any number of JAK-associated diseases.
  • a combination therapy comprising an mTOR inhibitor and a JAK inhibitory as defined in the appended claims.
  • the JAK inhibitor has the general formula set forth in formula I: or stereoisomers, tautomers, racemates, solvates, or pharmaceutically acceptable salts thereof.
  • a composition comprising an mTOR inhibitor and a JAK inhibitor.
  • the compound of formula I is (3R)-3-cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]propanenitrile (Compound A), or a pharmaceutically acceptable salt thereof.
  • the JAK inhibitor is 5-Chloro-N 2 -[(1S)-1-(5-fluoropyrimidin-2-yl)ethyl]-N 4 -(5-methyl-1H-pyrazol-3-yl)-pyrimidine-2,4-diamine (AZD1480), or a pharmaceutically acceptable salt thereof.
  • the mTOR inhibitor is Everolimus (RAD001) or 2-(4-amino-1-isopropyl-1H-pyrazolo[3,4-d]pyrimidin-3-yl)-1H-indol-5-ol (PP242).
  • the combination therapy comprises Everolimus and Compound A, or a pharmaceutically acceptable salt thereof.
  • the combination therapy comprises PP242 and Compound A, or a pharmaceutically acceptable salt thereof.
  • the mTOR inhibitor and the JAK inhibitor are in a single formulation or unit dosage form.
  • the single formulation or unit dosage form can further comprise a pharmaceutically acceptable carrier.
  • the mTOR inhibitor and the JAK inhibitor are administered separately.
  • the combination therapy provided herein is useful for the treatment of a JAK-associated disease in a subject.
  • a method of treating cancer in a subject in need thereof comprising administering to the subject an effective amount of an mTOR inhibitor and a JAK inhibitor (e.g., a compound of formula I ( e.g ., Compound A, or a pharmaceutically acceptable salt thereof)).
  • a JAK inhibitor e.g., a compound of formula I (e.g ., Compound A, or a pharmaceutically acceptable salt thereof).
  • the cancer is a myeloproliferative neoplasm.
  • Non-limiting examples of myeloproliferative neoplasms that can be treated using the combination therapy of the invention include, but are not limited to, chronic myeloid leukemia (CML), polycythemia vera (PV), essential thrombocythemia (ET), primary or idiopathic myelofibrosis (PMF), chronic neutrophilic leukemia, chronic eosinophilic leukemia, chronic myelomonocytic leukemia, juvenile myelomonocytic leukemia, hypereosinophilic syndrome, systemic mastocytosis, and atypical chronic myelogenous leukemia.
  • CML chronic myeloid leukemia
  • PV polycythemia vera
  • ET essential thrombocythemia
  • PMF primary or idiopathic myelofibrosis
  • chronic neutrophilic leukemia chronic eosinophilic leukemia
  • chronic myelomonocytic leukemia chronic my
  • the combination therapy can be used for treatment of intermediate or high-risk myelofibrosis, including primary myelofibrosis, post-polycythemia vera myelofibrosis or post-essential thrombocythemia myelofibrosis.
  • the subject is human.
  • the treatment comprises co-administering an mTOR inhibitor and a JAK inhibitor (e.g., a compound of formula I ( e.g .. Compound A, or a pharmaceutically acceptable salt thereof)) as defined in the appended claims.
  • the mTOR inhibitor and the JAK inhibitor e.g., a compound of formula I ( e.g., Compound A, or a pharmaceutically acceptable salt thereof)
  • the mTOR inhibitor and the JAK inhibitor can be in separate formulations or unit dosage forms.
  • the treatment comprises administering the mTOR inhibitor and the JAK inhibitor (e.g., a compound of formula I ( e.g., Compound A, or a pharmaceutically acceptable salt thereof)) at substantially the same time, or different times.
  • the mTOR inhibitor is administered to the subject, followed by administration of the JAK inhibitor (e.g., a compound of formula I ( e.g., Compound A, or a pharmaceutically acceptable salt thereof)).
  • the JAK inhibitor e.g., a compound of formula I (e.g., Compound A, or a pharmaceutically acceptable salt thereof)
  • the mTOR inhibitor and/or the JAK inhibitor e.g., a compound of formula I (e.g., Compound A, or a pharmaceutically acceptable salt thereof)
  • the JAK inhibitor is administered at amounts that would not be effective when one or both of the mTOR inhibitor and the JAK inhibitor (e.g., a compound of formula I ( e.g., Compound A, or a pharmaceutically acceptable salt thereof) is administered alone, but which amounts are effective in combination.
  • the combination therapy provided herein is also useful for inhibiting STAT5 phosphorylation.
  • the STAT5 phosphorylation can be inhibited in a subject in need thereof.
  • the inhibition of STAT5 phosphorylation in a subject treats a myeloproliferative neoplasm in the subject.
  • the myeloproliferative neoplasm can be selected from the group consisting of chronic myeloid leukemia (CML), polycythemia vera (PV), essential thrombocythemia (ET), primary or idiopathic myelofibrosis (PMF), chronic neutrophilic leukemia, chronic eosinophilic leukemia, chronic myelomonocytic leukemia, juvenile myelomonocytic leukemia, hypereosinophilic syndrome, systemic mastocytosis, and atypical chronic myelogenous leukemia.
  • CML chronic myeloid leukemia
  • PV polycythemia vera
  • ET essential thrombocythemia
  • PMF primary or idiopathic myelofibrosis
  • chronic neutrophilic leukemia chronic eosinophilic leukemia
  • chronic myelomonocytic leukemia chronic myelomonocytic leukemia
  • a method of treating a myeloproliferative neoplasm comprising administering to a subject in need thereof Everolimus and Compound A, or a pharmaceutically acceptable salt thereof.
  • a method of treating a myeloproliferative neoplasm comprising administering to a subject in need thereof PP242 and Compound A, or a pharmaceutically acceptable salt thereof.
  • the myeloproliferative neoplasm is primary myelofibrosis, post-polycythemia vera myelofibrosis or post-essential thrombocythemia myelofibrosis.
  • a combination of an mTOR inhibitor and a JAK kinase inhibitor e.g ., a JAK kinase inhibitor of the formula I (e.g., Compound A, or a pharmaceutically acceptable salt thereof)
  • a JAK kinase inhibitor of the formula I e.g., Compound A, or a pharmaceutically acceptable salt thereof
  • Such an approach - combination or co-administration of the two types of agents - can be useful for treating individuals suffering from cancer who do not respond to or are resistant to currently-available therapies.
  • the combination therapy provided herein is also useful for improving the efficacy and/or reducing the side effects of currently-available Cancer therapies for individuals who do respond to such therapies.
  • a "combination of agents” and similar terms refer to a combination of two types of agents: (1) an mTOR inhibitor and (2) a JAK inhibitor (e.g ., a JAK kinase inhibitor of the formula I ( e.g ., Compound A, or a pharmaceutically acceptable salt thereof)).
  • a JAK inhibitor e.g ., a JAK kinase inhibitor of the formula I ( e.g ., Compound A, or a pharmaceutically acceptable salt thereof)
  • mTOR The mammalian target of rapamycin, commonly known as mTOR, is a serine/threonine protein kinase that regulates cell growth, cell proliferation, cell motility, cell survival, protein synthesis, and transcription.
  • mTOR is a key intermediary in multiple mitogenic signaling pathways and plays a central role in modulating proliferation and angiogenesis in normal tissues and neoplastic processes. Hyperactivation of mTOR signaling has been implicated in tumorigenesis, and studies in several tumor types suggest that the anti-proliferative and anti-angiogenic properties of mTOR inhibitors are useful in cancer therapy.
  • mTOR exists within two complexes, mTORC1 and mTORC2.
  • mTORC1 is sensitive to rapamycin analogs (such as temsirolimus or everolimus) and mTORC2 is largely rapamycin-insensitive.
  • rapamycin analogs such as temsirolimus or everolimus
  • mTORC2 is largely rapamycin-insensitive.
  • Several mTOR inhibitors have been or are being evaluated in clinical trials for the treatment of cancer.
  • mTOR inhibitor refers to a compound or a ligand that inhibits at least one activity of an mTOR, such as the serine/threonine protein kinase activity on at least one of its substrates (e.g., p70S6 kinase 1, 4E-BP1, AKT/PKB and eEF2).
  • substrates e.g., p70S6 kinase 1, 4E-BP1, AKT/PKB and eEF2
  • mTOR inhibitors include, without limitation, rapamycin (sirolimus), rapamycin derivatives, CI-779, everolimus (Certican TM ), ABT-578, tacrolimus (FK 506), ABT-578, AP-23675, BEZ-235, OSI-027, QLT-0447, ABI-009, BC-210, salirasib, TAFA-93, deforolimus (AP-23573), temsirolimus (Torisel TM ), 2-(4-Amino-1-isopropyl-1H-pyrazolo[3,4-d]pyrimidin-3-yl)-1H-indol-5-ol (PP242) and AP-23841.
  • selective mTOR inhibitor refers to a compound or a ligand that inhibits mTOR activity but does not inhibit PI3K activity. Suitable selective mTOR inhibitors include RAD001. Accordingly, in one aspect, provided herein is a combination therapy comprising a selective mTOR inhibitor and a JAK inhibitor.
  • Rapamycin is a known macrolide antibiotic produced by Streptomyces hygroscopicus. Suitable derivatives of rapamycin include e.g., compounds of formula II: wherein
  • rapamycin derivatives of formula II are, e.g., 32-deoxorapamycin, 16-pent-2-ynyloxy-32-deoxorapamycin,16-pent-2-ynyloxy-32(S or R)-dihydro-rapamycin,16-pent-2-ynyloxy-32(S or R)-dihydro-40-O-(2-hydroxyethyl)-rapamycin, 40-[3-hydroxy-2-(hydroxymethyl)-2-methylpropanoate]-rapamycin (also called CCI779) or 40-epi-(tetrazolyl)-rapamycin (also called ABT578).
  • Rapamycin derivatives may also include the so-called rapalogs, e.g as disclosed in WO 98/02441 and WO 01/14387 , e.g. AP23573, AP23464, AP23675 or AP23841. Further examples of a rapamycin derivative are those disclosed under the name TAFA-93 (a rapamycin prodrug), biolimus-7 or biolimus-9.
  • the mTOR inhibitor used in the combination therapy provided herein is Everolimus (RAD001) or 2-(4-amino-1-isopropyl-1H-pyrazolo[3,4-d]pyrimidin-3-yl)-1H-indol-5-ol (PP242) (see, e.g ., Apsel et al., Nature Chemical Biology 4, 691-699 (2008 )).
  • JAK1 also known as Janus kinase-1
  • JAK2 also known as Janus kinase-2
  • JAK3 also known as Janus kinase, leucocyte
  • JAKL also known as L-JAK and Janus kinase-3
  • TYK2 also known as protein-tyrosine kinase 2
  • JAK proteins range in size from 120 to 140 kDa and comprise seven conserved JAK homology (JH) domains; one of these is a functional catalytic kinase domain, and another is a pseudokinase domain potentially serving a regulatory function and/or serving as a docking site for STATs ( Scott, M. J., C. J. Godshall, et al. (2002) Clin Diagn Lab Immunol 9(6): 1153-9 ).
  • JH JAK homology
  • a "JAK inhibitor” refers to a compound or a ligand that inhibits at least one activity of a JAK kinase.
  • a "JAK inhibitor” can also be a "JAK1/JAK2 inhibitor.”
  • the JAK inhibitor induces a JAK-inhibited state.
  • Examples of JAK inhibitors include compounds of formula I and AZD1480.
  • the compound of formula I is defined as follows: or stereoisomers, tautomers, racemates, solvates or pharmaceutically acceptable salts thereof, wherein.
  • Examples of compounds of formula I include the compounds described in U.S. U.S. Patent No. 7,598,257 . Methods of making compounds of formula I, including Compound A, can be found in U.S. Patent No. 7,598,257 and PCT Publication WO/2010/083283 ( PCT/US2010/021003 ).
  • the compound of formula I is 3-cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]propanenitrile or a pharmaceutically acceptable salt thereof.
  • the compound of formula I is (3R)-3-cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazolo-1-yl]propanenitrile (Compound A) or a pharmaceutically acceptable salt thereof.
  • the compound of formula I is (3S)-3-cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]propananitrile or a pharmaceutically acceptable salt thereof.
  • the synthesis of these compounds are described in, for example, U.S. Patent No. 7,598,257 and PCT Publication WO/2010/083283 ( PCT/US2010/021003 ).
  • the compound of formula I is (3R)-3-cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]propanenitrile maleic acid salt.
  • the compound of formula I is (3R)-3-cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]propanenitrile sulfuric acid salt.
  • the compound is of formula I is (3R)-3-cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]propanenitrile phosphoric acid salt ("phosphoric acid salt of Compound A").
  • phosphoric acid salt of Compound A The synthesis of these compounds are described in, for example, U.S. Patent Application No. 12/137,892 .
  • a combination therapy comprising the phosphoric acid salt of Compound A and an mTOR inhibitor, e.g., Everolimus or PP242.
  • an mTOR inhibitor e.g., Everolimus or PP242.
  • C x -C y -alkyl indicates a particular alkyl group (straight- or branched-chain) of a particular range of carbons.
  • C 1 -C 4 -alkyl includes, but is not limited to, methyl, ethyl, propyl, butyl, isopropyl, tert-butyl and isobutyl.
  • C 3-6 cycloalkyl refers to saturated or unsaturated monocyclic or bicyclic hydrocarbon groups of 3-6 carbon atoms, preferably 5 carbon atoms.
  • exemplary monocyclic hydrocarbon groups include, but are not limited to, cyclopropyl, cyclobutyl, and cyclopentyl.
  • halogen refers to chloro, bromo, fluoro, and iodo groups.
  • Agents may contain one or more asymmetric elements such as stereogenic centers or stereogenic axes, e.g ., asymmetric carbon atoms, so that the compounds can exist in different stereoisomeric forms.
  • asymmetric elements such as stereogenic centers or stereogenic axes, e.g ., asymmetric carbon atoms, so that the compounds can exist in different stereoisomeric forms.
  • These compounds can be, for example, racemates or optically active forms.
  • these compounds with two or more asymmetric elements these compounds can additionally be mixtures of diastereomers.
  • compounds having asymmetric centers it should be understood that all of the optical isomers and mixtures thereof are encompassed.
  • compounds with carbon-carbon double bonds may occur in Z- and E-forms; all isomeric forms of the compounds are included in the present invention.
  • the single enantiomers can be obtained by asymmetric synthesis, synthesis from optically pure precursors, or by resolution of the racemates. Resolution of the racemates can also be accomplished, for example, by conventional methods such as crystallization in the presence of a resolving agent, or chromatography, using, for example a chiral HPLC column.
  • reference to compounds useful in the combination therapy of the invention includes both the free base of the compounds, and all pharmaceutically acceptable salts of the compounds.
  • the term "pharmaceutically acceptable salts” refers to the nontoxic acid or alkaline earth metal salts of the pyrimidine compounds of the invention. These salts can be prepared in situ during the final isolation and purification of the pyrimidine compounds, or by separately reacting the base or acid functions with a suitable organic or inorganic acid or base, respectively.
  • Representative salts include, but are not limited to, the following: acetate, adipate, alginate, citrate, aspartate, benzoate, benzenesulfonate, bisulfate, butyrate, camphorate, camphorsulfonate, digluconate, cyclopentanepropionate, dodecylsulfate, ethanesulfonate, glucoheptanoate, glycerophosphate, hemi-sulfate, heptanoate, hexanoate, fumarate, hydrochloride, hydrobromide, hydroiodide, 2-hydroxyethanesulfonate, lactate, maleate, methanesulfonate, nicotinate, 2-naphth-alenesulfonate, oxalate, pamoate, pectinate, persulfate, 3-phenylproionate, picrate, pivalate, propionate, succinate
  • the basic nitrogen-containing groups can be quaternized with such agents as alkyl halides, such as methyl, ethyl, propyl, and butyl chloride, bromides, and iodides; dialkyl sulfates like dimethyl, diethyl, dibutyl, and diamyl sulfates, long chain halides such as decyl, lauryl myristyl, and stearyl chlorides, bromides and iodides, aralkyl halides like benzyl and phenethyl bromides, and others. Water or oil-soluble or dispersible products are thereby obtained.
  • alkyl halides such as methyl, ethyl, propyl, and butyl chloride, bromides, and iodides
  • dialkyl sulfates like dimethyl, diethyl, dibutyl, and diamyl sulfates
  • long chain halides such as de
  • inorganic acids as hydrochloric acid, hydroboric acid, nitric acid, sulfuric acid and phosphoric acid
  • organic acids as formic acid, acetic acid, trifluoroacetic acid, fumaric acid, tartaric acid, oxalic acid, maleic acid, methanesulfonic acid, succinic acid, malic
  • a combination therapy comprising-an mTOR inhibitor and a JAK inhibitor (e.g. , the JAK inhibitor of formula I ( e.g. , Compound A, or a pharmaceutically acceptable salt thereof).
  • Administration of the combination i.e. , a combination of an mTOR inhibitor and a JAK inhibitor ( e.g. , the JAK inhibitor of formula I ( e.g. , Compound A, or a pharmaceutically acceptable salt thereof) includes administration of the combination in a single formulation or unit dosage form, administration of the individual agents of the combination concurrently but separately, or administration of the individual agents of the combination sequentially by any suitable route.
  • packaged pharmaceutical products may contain one or more dosage forms that contain the combination of agents, and one or more dosage forms that contain one of the combination of agents, but not the other agent(s) of the combination.
  • single formulation refers to a single carrier or vehicle formulated to deliver effective amounts of both therapeutic agents to a patient.
  • the single vehicle is designed to deliver an effective amount of each of the agents, along with any pharmaceutically acceptable carriers or excipients.
  • the vehicle is a tablet, capsule, pill, or a patch. In other embodiments, the vehicle is a solution or a suspension.
  • unit dose is used herein to mean simultaneous administration of both agents together, in one dosage form, to the patient being treated.
  • the unit dose is a single formulation.
  • the unit dose includes one or more vehicles such that each vehicle includes an effective amount of at least one of the agents along with pharmaceutically acceptable carriers and excipients.
  • the unit dose is one or more tablets, capsules, pills, or patches administered to the patient at the same time.
  • treat is used herein to mean to relieve, reduce or alleviate, at least one symptom of a disease in a subject.
  • the term “treat” also denotes, to arrest, delay the onset (i.e. , the period prior to clinical manifestation of a disease or symptom of a disease) and/or reduce the risk of developing or worsening a symptom of a disease.
  • subject is intended to include animals. Examples of subjects include mammals, e.g. , humans, dogs, cows, horses, pigs, sheep, goats, cats, mice, rabbits, rats, and transgenic non-human animals.
  • the subject is a human, e.g. , a human suffering from, at risk of suffering from, or potentially capable of suffering from cancer, e.g. , myeloproliferative neoplasms.
  • the term “about” or “approximately” usually means within 20%, more preferably within 10%, and most preferably still within 5% of a given value or range. Alternatively, especially in biological systems, the term “about” means within about a log ( i.e. , an order of magnitude) preferably within a factor of two of a given value.
  • combination therapy refers to the administration of two or more therapeutic agents to treat a therapeutic condition or disorder described in the present disclosure.
  • administration encompasses co-administration of these therapeutic agents in a substantially simultaneous manner, such as in a single capsule having a fixed ratio of active ingredients or in multiple, or in separate containers ( e.g. , capsules) for each active ingredient.
  • administration also encompasses use of each type of therapeutic agent in a sequential manner, either at approximately the same time or at different times. In either case, the treatment regimen will provide beneficial effects of the drug combination in treating the conditions or disorders described herein.
  • synergistic effect refers to action of two agents such as, for example, an mTOR inhibitor and a JAK inhibitor (e.g. , a JAK inhibitor of formula, I), producing an effect, for example, slowing the symptomatic progression of cancer or symptoms thereof, which is greater than the simple addition of the effects of each drug administered by themselves.
  • a synergistic effect can be calculated, for example, using suitable methods such as the Sigmoid-Emax equation ( Holford, N. H. G. and Scheiner, L. B., Clin. Pharmscokinet. 6: 429-453 (1981 )), the equation of Loewe additivity ( Loewe, S.
  • a combination therapy comprising an effective amount of a JAK inhibitor and an mTOR inhibitor.
  • An "effective amount" of a combination of agents i.e. , an mTOR inhibitor and a JAK inhibitor (e.g. , a JAK inhibitor of formula I) is an amount sufficient to provide an observable improvement over the baseline clinically observable signs and symptoms of the disorders treated with the combination.
  • oral dosage form includes a unit dosage form prescribed or intended for oral administration.
  • the invention provides a method of treating JAK-associated diseases, e.g. , cancer, e.g ., myeloproliferative neoplasms, in an individual by administering to the individual a combination of an mTOR inhibitor and a JAK inhibitor (e.g. , a JAK inhibitor of formula I).
  • JAK-associated diseases e.g. , cancer, e.g ., myeloproliferative neoplasms
  • a JAK-associated disease can include any disease, disorder or condition that is directly or indirectly linked to expression or activity of the JAK, including over-expression and/or abnormal activity levels.
  • a JAK-associated disease can also include any disease, disorder or condition that can be prevented, ameliorated, or cured by modulating JAK activity.
  • JAK-associated diseases include diseases involving the immune system including, for example, organ transplant rejection (e.g. , allograft rejection and graft versus host disease).
  • organ transplant rejection e.g. , allograft rejection and graft versus host disease.
  • JAK-associated diseases include autoimmune diseases such as multiple sclerosis, rheumatoid arthritis, juvenile arthritis, type I diabetes, lupus, psoriasis, inflammatory bowel disease, ulcerative colitis, Crohn's disease, myasthenia gravis, immunoglobulin nephropathies, autoimmune thyroid disorders, and the like.
  • the autoimmune disease is an autoimmune bullous skin disorder such as pemphigus vulgaris (PV) or bullous pemphigoid (BP).
  • JAK-associated diseases include allergic conditions such as asthma, food allergies, atopic dermatitis and rhinitis.
  • Further examples of JAK-associated diseases include viral diseases such as Epstein Barr Virus (EBV), Hepatitis B, Hepatitis C, HIV, HTLV 1, Varicella-Zoster Virus (VZV) and Human Papilloma Virus (HPV).
  • EBV Epstein Barr Virus
  • HBV Human Papilloma Virus
  • HPV Human Papilloma Virus
  • JAK-associated diseases or conditions include skin disorders such as psoriasis (for example, psoriasis vulgaris), atopic dermatitis, skin rash, skin irritation, skin sensitization (e.g. , contact dermatitis or allergic contact dermatitis).
  • skin disorders such as psoriasis (for example, psoriasis vulgaris), atopic dermatitis, skin rash, skin irritation, skin sensitization (e.g. , contact dermatitis or allergic contact dermatitis).
  • certain substances including some pharmaceuticals when topically applied can cause skin sensitization.
  • the skin disorder is treated by topical administration of the combination therapy.
  • the JAK-associated disease is cancer including those characterized by solid tumors (e.g. , prostate cancer, renal cancer, hepatic cancer, pancreatic cancer, gastric cancer, breast cancer, lung cancer, cancers of the head and neck, thyroid cancer, glioblastoma, Kaposi's sarcoma, Castleman's disease, melanoma etc. ), hematological cancers (e.g. , lymphoma, leukemia such as acute lymphoblastic leukemia, or multiple myeloma), and skin cancer such as cutaneous T-cell lymphoma (CTCL) and cutaneous B-cell lymphoma.
  • CTCL cutaneous T-cell lymphoma
  • Example cutaneous T-cell lymphomas include Sezary syndrome and mycosis fungoides.
  • JAK-associated diseases can further include those characterized by expression of a mutant JAK2 such as those having at least one mutation in the pseudo-kinase domain (e.g. , JAK2V617F).
  • a mutant JAK2 such as those having at least one mutation in the pseudo-kinase domain (e.g. , JAK2V617F).
  • JAK-associated diseases can further include myeloproliferative disorders (MPDs) such as polycythemia vera (PV), essential thrombocythemia (ET), myeloid metaplasia with myelofibrosis (MMM), chronic myelogenous leukemia (CML), chronic myelomonocytic leukemia (CMML), hypereosinophilic syndrome (HES), systemic mast cell disease (SMCD), and the like.
  • MPDs myeloproliferative disorders
  • PV polycythemia vera
  • ET essential thrombocythemia
  • MMM myeloid metaplasia with myelofibrosis
  • CML chronic myelogenous leukemia
  • CMML chronic myelomonocytic leukemia
  • HES hypereosinophilic syndrome
  • SMCD systemic mast cell disease
  • JAK-associated diseases include inflammation and inflammatory diseases.
  • Example inflammatory diseases include inflammatory diseases of the eye (e.g. , ulceris, uveitis, scleritis, conjunctivitis, or related disease), inflammatory diseases of the respiratory tract (e.g. , the upper respiratory tract including the nose and sinuses such as rhinitis or sinusitis or the lower respiratory tract including bronchitis, chronic obstructive pulmonary disease, and the like), inflammatory myopathy such as myocarditis, and other inflammatory diseases.
  • the combination therapy described herein can further be used to treat ischemia reperfusion injuries or a disease or condition related to an inflammatory ischemic event such as stroke or cardiac arrest.
  • the combination therapy described herein can further be used to treat anorexia, cachexia, or fatigue such as that resulting from or associated with cancer.
  • the combination therapy described herein can further be used to treat restenosis, sclerodermitis, or fibrosis.
  • the combination therapy described herein can further be used to treat conditions associated with hypoxia or astrogliosis such as, for example, diabetic retinopathy, cancer, or neurodegeneration. See, e.g ., Dudley, A. C. et al. Biochem. J. 2005, 390(Pt 2):427-36 and Sriram, K. et al. J. Biol. Chem. 2004, 279(19):19936-47. Epub 2004 Mar 2 .
  • the chronic myeloproliferative neoplasms which include polycythemia vera (PV), essential thrombocythemia (ET) and primary myelofibrosis (PMF), are characterized by a V617F point mutation in exon 14 of Janus Kinase 2 ( JAK2 ) occurring in greater than 95% of PV and 60% of ET or PMF patients.
  • JAK2 Janus Kinase 2
  • Other JAK2 exon 12 mutations are detected in rare patients with PV while mutations in MPL have been reported in 5-10% of ET or PMF patients ( Vannucchi AM, Guglielmelli, P, Tefferi, A. Advances in understanding and management of myeloproliferative neoplasms. AC- A Cancer Journal for Clinicians.
  • JAK2 represents a potentially valuable therapeutic target in MPN patients ( Id. ), as supported by effects in murine models of MPN and current evidence in clinical trials.
  • Akt phosphatidylinositol 3-kinase
  • ERK extracellular signal-regulated kinase
  • Akt is phosphorylated and activated via PI3K in response to ligand-engagement of the erythropoietin (EPO) receptor and has a role in normal erythroid differentiation.
  • EPO erythropoietin
  • Akt is able to support erythroid differentiation in JAK2-deficient fetal liver progenitor cells through a mechanism downstream of EpoR and at least in part related to GATA-1 phosphorylation.
  • Akt resulted activated in erythroblasts from the bone marrow or the spleen of mice with conditional JAK2 V617F knock-in allele, especially in V617F homozygous animals. Comparably increased phosphorylation of STAT5 and Akt was demonstrated by immunocytochemistry in the bone marrow of MPN patients, particularly in megakaryocytes. The preferential activation of Akt in megakaryocytes may be reconciled with the strong inhibition of human megakaryocyte progenitors' proliferation after blockade of mTOR signaling by rapamycin. Furthermore, small molecule inhibitors of the JAK/STAT or PI3K/Akt pathway caused comparable inhibition of spontaneous and EPO-induced erythroid differentiation in cultured PV progenitor cells.
  • the cancer that can be treated using the combination provided herein is a myeloproliferative disorder.
  • Myeloproliferative disorders now commonly referred to as meyloproliferative neoplasms (MPNs)
  • MPNs meyloproliferative neoplasms
  • CML chronic myeloid leukemia
  • PV polycythemia vera
  • ET essential thrombocythemia
  • PMF primary or idiopathic myelofibrosis
  • CML chronic myeloid leukemia
  • PV polycythemia vera
  • E essential thrombocythemia
  • PMF primary or idiopathic myelofibrosis
  • chronic neutrophilic leukemia chronic eosinophilic leukemia, chronic myelomonocytic leukemia, juvenile myelomonocytic leukemia, hypereosinophilic syndrome, systemic mastocytosis
  • Tefferi, A. and Gilliland, D. G., Oncogenes in myeloproliferative disorders, Cell Cycle. March 2007, 6(5): 550-566 is hereby fully incorporated by reference in its entirety for all purposes.
  • the combination therapy provided herein is useful for the treatment of primary myelofibrosis, post-polycythemia vera myelofibrosis, post-essential thrombocythemia myelofibrosis, and secondary acute myelogenous leukemia.
  • the combination therapy provided herein can be used to treat patients with intermediate or high-risk myelofibrosis, including primary myelofibrosis, post-polycythemia vera myelofibrosis and post-essential thrombocythemia myelofibrosis.
  • the subject to be treated e.g. , a human
  • the subject to be treated is determined to be non-responsive or resistant to one or more therapies for myeloproliferative disorders.
  • a method of treating a myeloproliferative neoplasm in a subject in need thereof comprising administering to the subject an effective amount of a composition comprising Everolimus and Compound A, or a pharmaceutically acceptable salt thereof.
  • an mTor inhibitor and a JAK inhibitor in the manufacture of a medicament for the treatment of cancer, e.g. , a myeloproliferative disorder, e.g. , intermediate or high-risk myelofibrosis, including primary myelofibrosis, post-polycythemia vera myelofibrosis and post-essential thrombocythemia myelofibrosis.
  • a myeloproliferative disorder e.g. , intermediate or high-risk myelofibrosis, including primary myelofibrosis, post-polycythemia vera myelofibrosis and post-essential thrombocythemia myelofibrosis.
  • a method of treating a myeloproliferative neoplasm in a subject in need thereof comprising administering to the subject an effective amount of a composition comprising PP242 and Compound A, or a pharmaceutically acceptable salt thereof.
  • a myeloproliferative disorder by administering an effective amount of a compound of an mTOR inhibitor and a JAK inhibitor to an individual suffering from a disease.
  • the amount of the combination of agents is effective to treat the disease. It is important to note the synergistic effects of the combination of agents: even though one or more of the agents administered alone at a particular dosage may not be effective, when administered in combination, at the same dosage of each agent, the treatment is effective.
  • the doses of the one or more of the agents in the combination therefore can be less than the FDA approved doses of each agent
  • the optimal dose of the combination of agents for treatment of disease can be determined empirically for each individual using known methods and will depend upon a variety of factors, including, though not limited to, the degree of advancement of the disease; the age, body weight, general health, gender and diet of the individual; the time and route of administration; and other medications the individual is taking. Optimal dosages may be established using routine testing and procedures that are well known in the art.
  • the amount of combination of agents that may be combined with the carrier materials to produce a single dosage form will vary depending upon the individual treated and the particular mode of administration.
  • the unit dosage forms containing the combination of agents as described herein will contain the amounts of each agent of the combination that are typically administered when the agents are administered alone.
  • Frequency of dosage may vary depending on the compound used and the particular condition to be treated or prevented. In general, the use of the minimum dosage that is sufficient to provide effective therapy is preferred. Patients may generally be monitored for therapeutic effectiveness using assays suitable for the condition being treated or prevented, which will be familiar to those of ordinary skill in the art.
  • the dosage form can be prepared by various conventional mixing, comminution and fabrication techniques readily apparent to those skilled in the chemistry of drug formulations.
  • the oral dosage form containing the combination of agents or individual agents of the combination of agents may be in the form of micro-tablets enclosed inside a capsule, e.g. a gelatin capsule.
  • a gelatin capsule as is employed in pharmaceutical formulations can be used, such as the hard gelatin capsule known as CAPSUGEL, available from Pfizer.
  • oral dosage forms useful herein contain the combination of agents or individual agents of the combination of agents in the form of particles.
  • Such particles may be compressed into a tablet, present in a core element of a coated dosage form, such as a taste-masked dosage form, a press coated dosage form, or an enteric coated dosage form, or may be contained in a capsule, osmotic pump dosage form, or other dosage form.
  • the drug compounds of the present invention are present in the combinations, dosage forms, pharmaceutical compositions and pharmaceutical formulations disclosed herein in a ratio in the range of 100:1 to 1:100.
  • the ratio of a compound of formula I : an mTOR inhibitor can be in the range of 1:100 to 1:1, for example, 1:100, 1:90, 1:80, 1:70, 1:60, 1:50, 1:40, 1:30,1:20,1:10,1:5,1:2, or 1:1 of formula I: an mTOR inhibitor.
  • the ratio of an mTOR inhibitor: a compound of formula I can be in the range of 1:100 to 1:1, for example, 1:100, 1:90, 1:80, 1:70, 1:60, 1:50, 1:40, 1:30, 1:20, 1:10, 1:5, 1:2, or 1:1 of an mTOR inhibitor: a compound of formula I.
  • the optimum ratios, individual and combined dosages, and concentrations of the drug compounds that yield efficacy without toxicity are based on the kinetics of the active ingredients' availability to target sites, and are determined using methods known to those of skill in the art.
  • compositions or combinations provided herein can be tested in clinical studies.
  • Suitable clinical studies may be, for example, open label, dose escalation studies in patients with proliferative diseases. Such studies prove in particular the synergism of the active ingredients of the combination of the invention.
  • the beneficial effects on proliferative diseases may be determined directly through the results of these studies which are known as such to a person skilled in the art. Such studies may be, in particular, suitable to compare the effects of a monotherapy using the active ingredients and a combination of the invention.
  • the dose of a compound of an mTOR inhibitor is escalated until the Maximum Tolerated Dosage is reached, and a JAK inhibitor (e.g. , a JAK inhibitor of formula I) is administered with a fixed dose.
  • a JAK inhibitor e.g. , a JAK inhibitor of formula I
  • a JAK inhibitor may be administered in a fixed dose and the dose of the mTOR inhibitor may be escalated.
  • Each patient may receive doses of the compounds either daily or intermittently.
  • the efficacy of the treatment may be determined in such studies, e.g ., after 12,18 or 24 weeks by evaluation of symptom scores every 6 weeks.
  • a combination therapy of the invention may result not only in a beneficial effect, e.g. a synergistic therapeutic effect, e.g. with regard to alleviating, delaying progression of or inhibiting the symptoms, but also in further surprising beneficial effects, e.g. fewer side-effects, an improved quality of life or a decreased morbidity, compared with a monotherapy applying only one of the pharmaceutically active ingredients used in the combination of the invention.
  • a beneficial effect e.g. a synergistic therapeutic effect, e.g. with regard to alleviating, delaying progression of or inhibiting the symptoms
  • further surprising beneficial effects e.g. fewer side-effects, an improved quality of life or a decreased morbidity
  • a further benefit may be that lower doses of the active ingredients of the combination of the invention may be used, for example, that the dosages need not only often be smaller but may also be applied less frequently, which may diminish the incidence or severity of side-effects. This is in accordance with the desires and requirements of the patients to be treated.
  • a pharmaceutical composition comprising a quantity, which may be jointly therapeutically effective at targeting or preventing cancer, e.g ., a myeloproliferative disorder.
  • an mTOR inhibitor and a JAK inhibitor e.g. , a JAK inhibitor of formula I
  • the unit dosage form may also be a fixed combination.
  • compositions for separate administration of both compounds, or for the administration in a fixed combination i.e. a single galenical composition comprising both compounds according to the invention may be prepared in a manner known per se and are those suitable for enteral, such as oral or rectal, and parenteral administration to mammals (warm-blooded animals), including humans, comprising a therapeutically effective amount of at least one pharmacologically active combination partner alone, e.g. as indicated above, or in combination with one or more pharmaceutically acceptable carriers or diluents, especially suitable for enteral or parenteral application.
  • the drug combinations provided herein may be formulated by a variety of methods apparent to those of skill in the art of pharmaceutical formulation.
  • the various release properties described above may be achieved in a variety of different ways. Suitable formulations include, for example, tablets, capsules, press coat formulations, and other easily administered formulations.
  • Suitable pharmaceutical formulations may contain, for example, from about 0.1 % to about 99.9%, preferably from about 1 %, to about 60 %, of the active ingredient(s).
  • Pharmaceutical formulations for the combination therapy for enteral or parenteral administration are, for example, those in unit dosage forms, such as sugar-coated tablets, tablets, capsules or suppositories, or ampoules. If not indicated otherwise, these are prepared in a manner known per se , for example by means of conventional mixing, granulating, sugar-coating, dissolving or lyophilizing processes. It will be appreciated that the unit content of a combination partner contained in an individual dose of each dosage form need not in itself constitute an effective amount since the necessary effective amount may be reached by administration of a plurality of dosage units.
  • a therapeutically effective amount of each of the combination partner of the combination of the invention may be administered simultaneously or sequentially and in any order, and the components may be administered separately or as a fixed combination.
  • the method of treating a disease according to the invention may comprise (i) administration of the first agent in free or pharmaceutically acceptable salt form and (ii) administration of the second agent in free or pharmaceutically acceptable salt form, simultaneously or sequentially in any order, in jointly therapeutically effective amounts, preferably in synergistically effective amounts, e.g. in daily or intermittently dosages corresponding to the amounts described herein.
  • the individual combination partners of the combination of the invention may be administered separately at different times during the course of therapy or concurrently in divided or single combination forms.
  • administering also encompasses the use of a pro-drug of a combination partner that convert in vivo to the combination partner as such.
  • the instant invention is therefore to be understood as embracing all such regimens of simultaneous or alternating treatment and the term "administering" is to be interpreted accordingly.
  • each of the combination partners employed in the combination of the invention may vary depending on the particular compound or pharmaceutical composition employed, the mode of administration, the condition being treated, the severity of the condition being treated.
  • the dosage regimen of the combination of the invention is selected in accordance with a variety of factors including the route of administration and the renal and hepatic function of the patient.
  • a clinician or physician of ordinary skill can readily determine and prescribe the effective amount of the single active ingredients required to alleviate, counter or arrest the progress of the condition.
  • Preferred suitable dosages for the compounds used in the treatment described herein are on the order of about 1 mg to about 600 mg, preferably about 3, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 90, 95, 100, 120, 140, 160, 180, 200, 220, 240, 260, 280, 300, 320, 340, 360, 380, 400, 420, 440, 460, 480, 500, 520, 540, 560, 580 to about 600 mgs total.
  • the JAK inhibitor is administered in a 5mg, 10mg, 15mg, 20mg, or a 25mg dose.
  • a composition comprising an mTOR inhibitor and a compound of formula I.
  • the compound of formula I is (3R)-3-cyclopentyl-3-[4-(7H-pyrrolo[2,3-d]pyrimidin-4-yl)-1H-pyrazol-1-yl]propanenitrile, or a pharmaceutically acceptable salt thereof.
  • the mTOR inhibitor is Everolimus (RAD001) or 2-(4-Amino-1-isopropyl-1H-pyrazolo[3,4-d]pyrimidin-3-yl)-1H-indol-5-ol (PP242).
  • the composition further comprises a pharmaceutically acceptable carrier.
  • RAD001 an mTOR specific allosteric inhibitor
  • PP242 an ATP domain inhibitor of mTOR
  • hydroxyurea was obtained from Sigma-Aldrich (St. Louis, Germany).
  • Interferon- ⁇ was obtained from Pegasys.
  • Antibodies against phospho(p)-STAT5 (Tyr694), STAT5, p-4EBP1 (Thr70), 4EBP1, mTOR, p-JAK2 (Tyr1007/1008) and JAK2, were from Cell Signaling Technology (Danvers, MA, US).
  • Anti-human tubulin antibody was from Santa Cruz Biotechnology (Santa Cruz, CA, US).
  • siRNAs against mTOR were from Dharmacon siGENOME Smart pool (Thermo Scientific, Waltham, MA, US); the siGENOME Non-Targeting siRNA Pool#1 (Thermo Scientific) was used as a negative control.
  • the HEL, SET2 and K562 human cell lines were purchased from the German Collection of Microorganisms and Cell Cultures (DSMZ, Braunschweig, Germany).
  • Murine BaF/3 and BaF/3-EPOR cells expressing JAK2 wild-type (wt) or JAK 2V617F were donated by R. Skoda (Basel, Switzerland).
  • Cell lines were cultured in RPMI 1640 supplemented with 10% fetal bovine serum (FBS; Lonza, Belgium) (20% for SET2 cells), antibiotics and L-glutamine.
  • mIL-3 and EPO were added to the culture medium of JAK2 WT BaF/3 and BaF/3-EPOR cells, respectively.
  • PB peripheral blood
  • BM bone marrow
  • Cells (2x10 4 ) were plated in 96-well culture tissue plates with increasing concentrations of the drug(s), in triplicate; viable cells were assessed using the WST-1 assay (Roche, USA) and normalized to wells containing an equivalent volume of vehicle (DMSO) only. The concentration at which 50% inhibition of proliferation occurred (IC 50 ) was calculated using the Origin software (V 7.5, OriginLab Northampton, MA). In some experiments, clonogenic tests were also employed. Cells (5x10 3 ) were plated in 0.5% agar in medium supplemented with FBS, and variable amount of the drug(s) (or an equivalent volume of vehicle in control plates) was added once at the beginning of culture. Colonies were enumerated by inverted microscopy after 7 day incubation.
  • Quantification of apoptotic cells was accomplished by flow cytometry using the Annexin-V-FLUOS Staining kit (Roche); at least 20,000 events were acquired.
  • Annexin-V-FLUOS Staining kit (Roche); at least 20,000 events were acquired.
  • 1x10 6 cells were treated with ethanol 95%, RNase 10 ⁇ g/mL and propidium iodide 50 mg/mL.
  • BM mononuclear cells from MPN patients or control subjects were plated at 1x10 5 /mL in methylcellulose (MethoCult; StemCell Technologies, Vancouver, Canada) supplemented with SCF 50ng/mL, IL-3 10ng/mL, IL-6 10ng/mL, GM-CSF 10ng/mL, G-CSF 10ng/mL and EPO 3U/mL for the growth of BFU-E and CFU-GM.
  • EEC assay was performed by plating 2.5x10 5 /mL PB mononuclear cells from PV patients in methylcellulose containing leukocyte-conditioned medium without EPO (StemCell Technol., cat. No.#04531).
  • CD34 + cells were plated in a 24-well plate in Megacult Collagen and medium with lipids (StemCell TechnoL) supplemented with Thrombopoietin 50ng/mL, IL-3 10ng/mL, IL-6 10ng/mL. Colonies were enumerated on day 14 according to standard criteria.
  • RNA isolation and Real-Time quantitative PCR RTQ-PCR
  • C T Comparative cycle threshold
  • Exponentially growing HEL cells were electroporated with siRNAs in the Amaxa Nucleofector (Amaxa Biosystems, Gaithersburg, MD, USA) using Amaxa kit R. Briefly, 2-5x10 6 cells in 0.1 mL volume were transfected with 1 ⁇ M siRNA and immediately transferred to 24-well plates containing prewarmed culture medium. Transfection efficiency and cell viability were assessed by flow cytometry with pmaxGFP® (Amaxa Biosystems), and resulted always greater than 85%.
  • JAK2 V617F mutant human leukemia cell lines were sensitive to mTOR inhibition, the selective allosteric mTOR inhibitor RAD001 and the ATP competitive inhibitor of the active site of mTOR, PP242, were empolyed. It was discovered that JAK2 V617F mutant HEL and SET2 cells were at least as sensitive to mTOR inhibition as the BCR/ABL positive K562 cells used as control.IC 50 values are shown in Table 1. The effects of mTOR inhibitors in JAK2 wild-type murine IL-3-dependent (Ba/F3) or EPO-dependent (Ba/F3-EPOR) cells or the cytokine-independent JAK2 V617F counterpart were investigated.
  • V617F Ba/F3 cells were more sensitive to RAD001 than the JAK2 wt counterpart either in the absence or the presence of IL-3 in the culture medium.
  • the IC 50 of V617F mutant cells was 651nM and 1,213nM in the absence and presence of EPO, respectively, compared to an IC 50 >10,000 nM in JAK2 wt cells.
  • PP242 was similarly effective: in V617F Ba/F3 cells IC 50 was 800nM and 1,600nM, respectively, in the absence or presence of IL-3 versus 3,400nM in wt cells; in wt Ba/F3-EPOR cells, IC 50 was 5,931nM versus 500nM and 750nM in V617F cells supplemented or not with EPO, respectively (Table 1). At their IC 50 concentration, RAD001 and PP242 (not shown) caused cell cycle arrest of SET2 and HEL cells in the G0/G1 phase of the cell cycle ( Figure 1A ).
  • Figure 1 shows the effect of selected mTOR inhibitors, a JAK1/JAK2 inhibitor, histone deacethylase inhibitors and hydroxyurea on cell apoptosis and cell cycle in SET2 or HEL cells.
  • the percentage of Annexin V-positive apoptotic cells was measured by flow cytometry in SET2 cells that had been exposed for 48h to varying amount of the mTOR inhibitors RAD001 or PP242 (B), JAK1/JAK2 inhibitor Compound A (C), HDAC inhibitor Panobinostat (D) or hydroxyurea (E). Results are expressed ad percent viable cells compared to control wells containing vehicle (DMSO) only. The fraction of necrotic cells was identified as the double-positive Annexin V/propidium iodide cells.
  • DMSO vehicle
  • Table 4 shows inhibition of clonogenic growth of JAK2 V617F mutant cell lines by mTOR inhibitors, RAD001 or PP242 and JAK1/JAK2 inhibitor Compound A.
  • JAK2 V617F mutant human-origin cell lines either heterozygous (SET-2) or homozygous (HEL), and the BCR/ABL mutant K562 cell line (used as a control), were exposed to increasing concentrations of RAD001, PP242 or Compound A. 10 3 cells were plated in agar in the presence of variable amount of the drug; colonies were counted on day 7 and expressed as a percentage of colony number grown in control plates containing vehicle.
  • Murine BaF/3 cells over-expressing JAK2 V617F were similarly exposed to RAD001, PP242 or Compound A, and compared to wild-type cells (wt).
  • Interleukin-3 (10 ng/mL) was added or not to the culture medium.
  • IC 50 values shown are the Mean ⁇ SD of at least three independent experiments.
  • mTOR inhibitors attenuate downstream signalling of mTOR pathway and reduce STATS phosphorylation in JAK2 V617F mutated cell lines
  • mTOR was silenced with specific siRNA in HEL cells.
  • siRNAs treatment decreased mTOR levels by only 50-60% at 24 h, the level of phosphorylated 4E-BP1 decreased dramatically compared to cells that had been treated with irrelevant control siRNA; total 4E-BP1 protein content did not change at all (data not shown).
  • both mTOR and phosphorylated 4E-BP1 were barely detectable.
  • the level of phosphorylated STAT5 appeared markedly reduced at 24-48 h in cells that had been-nucleofected with mTOR specific siRNA compared to control; total STAT5 concent did not change.
  • Figure 2 shows the effect of selected mTOR inhibitors, a JAK1/JAK2 inhibitor, histone deacethylase inhibitors and hydroxyurea on mTOR and JAK/STAT signaling in SET2 cells.
  • SET2 cells were incubated for 24 h with increasing concentrations of the drugs, and the level of total and phosphorylated JAK2, STAT5, and 4EBP1 was analyzed by western blot. Tubulin was used for loading normalization. The results shown are representative of two to four similar experiments for the different drugs.
  • Combination of RAD001 or PP242 with Compound A results in synergistic inhibition of hematopoietic progenitor cells from patients with MPN in EEC colony formation assay.
  • PBMC from patients with PV were incubated with increasing concentration of RAD001, PP242, Compound A or a combination of RAD001 or PP242 and Compound A in an EEC assay.
  • Peripheral-blood derived mononuclear cells from PV patients were cultured in EPO-free methylcellulose medium for EEC growth, in the absence or the presence of a fixed amount of RAD001, PP242, and/or Compound A.
  • the EEC were scored at 12 day and expressed as percent of the number of colonies measured in control plates containing vehicle only. *, P ⁇ 0.05, **, P ⁇ 0.01.
  • the results set forth in Table 6 show CIs of 0.2 and 0.26 in these cultures, further demonstrating synergism between mTOR and JAK inhibitors in the inhibition of JAK2 V617F cell growth.
  • JAK2 inhibitors reduce the proliferation of JAK2 V617F mutant cells in vitro, mitigate myeloproliferation in JAK2 V617F transgenic animals (Liu PC, Caulder E, Li J, et al. Combined inhibition of Janus kinase 1/2 for the treatment of JAK2V617F-driven neoplasms: selective effects on mutant cells and improvements in measures of disease severity. Clin Cancer Res. 2009;15:6891-6900 ) and produce measurable clinical improvement in patients with myelofibrosis ( Verstovsek S, Kantaijian H, Mesa RA, et al.
  • rapamycin a key downstream target of the PI3k/Akt pathway.
  • the serine/threonine kinase mTOR functions as a central regulator of cell metabolism, survival, growth, proliferation and autophagy.
  • mTOR is inhibited by a family of molecules, named rapalogs following its founding member rapamycin, that have been recently employed in clinical trials in cancers.
  • mTOR exists in two complexes, TORC1 and TORC2.
  • TORC1 formed with raptor, controls the level of cap-dependent mRNA translation and phosphorylates effectors such as the eukaryotic initiation factor 4E-binding protein 1 (4E-BP1) and S6 kinase 1 (S6K1).
  • E-BP1 eukaryotic initiation factor 4E-binding protein 1
  • S6K1 S6 kinase 1
  • phosphorylated 4E-BP1 leads to inhibited binding to eukaryotic initiation factor 4E (eIF4E) and prevents translation activation of several genes, including cyclin D1, Bcl-2, Bcl-X L , and vascular endothelial growth factor.
  • S6K1 regulates cell growth by phosphorylating key targets such as eIFe4, mTOR, eukaryotic initiation factor 4B and elongation-2 kinase. Both eIF4E and SKI have been involved in cellular transformation and are overexpressed in some poor-prognosis cancers. Additional components of TORC1 include mammalian LST8/G-protein ⁇ -subunit like protein (mLST8/G ⁇ L) and the recently identified partners PRAS40 and DEPTOR.
  • mLST8/G ⁇ L mammalian LST8/G-protein ⁇ -subunit like protein
  • mTOR also combines with Rictor in mTORC2, that is largely rapamicin insensitive, and is composed of G ⁇ L and mammalian stress-activated protein kinase interacting protein 1 (mSIN1); TORC 2 is involved in the phosphorylation of Akt at Ser473.
  • mSIN1 mammalian stress-activated protein kinase interacting protein 1
  • This negative feedback loop from mTORC2 to Akt may, in some instances, result in exacerbated tumor progression, although RAD001 was reported to potently inhibited Akt activity in leukemic cells via suppression of both mTORC1 and mTORC2.
  • RAD001 allosteric mTOR inhibitors
  • novel molecules that act as competitive inhibitors of the mTOR ATP active site have been developed; one of these, PP242 strongly suppresses both TORC1 and TORC2-mediated activities and exerted potent cytotoxicity against leukemia cells.
  • RAD001 and PP242 were used to explore in vitro the putative role mTOR as target for therapy in MPN.
  • mTOR inhibitors prompted an arrest of cell proliferation of JAK 2V617F mutated human and murine leukemia cell lines at drug concentrations significantly lower than control cells (Table 1).
  • RAD001 did not induce cell death while PP242 cause some cell apoptosis as highest concentrations; thus, in these experimental settings, mTOR inhibitors are mainly cytostatic. This mode of action differed from the JAK1/JAK2 inhibitor Compound A and HDAC inhibitor panobinostat that all potently induced cell apoptosis ( Figure 1 ).
  • the IC 50 value was calculated in proliferation inhibition assay in the presence of different drug combinations. Reported is the median IC 50 value from at least 3 experiments of the drugs used in combination.
  • the Combination Index (CI) was calculated according to Chou and Talaly as described in Materials and Methods. A CI ⁇ 1 indicates that the interaction of the two drugs is synergistic.
  • the first two columns (in gray) report, for convenience, the IC 50 value of the individual drugs as calculated from data in Table 1.
  • the IC 50 value (i.e., the concentration of drug that reduced colony number to 50% that measured in control dishes with vehicle only) was calculated in agar clonogenic assay by enumerating the colonies on day 7 in the presence of different drug concentrations.
  • the control cell line was K562
  • the reference were Ba/F3 wild-type cells maintained in the presence of IL-3. **, P ⁇ 0.01.
  • the IC 50 value was calculated in clonogenic assay in agar by enumerating the colonies grown on day 7 of culture established in the presence of different drug combinations. Reported is the median value from at least 3 experiments of IC 50 of the two drugs used in combination.
  • the Combination Index (CI) was calculated as described in Materials and Methods. A a CI ⁇ 1 indicates that the interaction of the two drugs is synergistic. The first two columns (in gray) indicate the IC 50 value calculated for the individual drugs and are reported here from Table 4 for convenience.
  • the IC 50 value was calculated in clonogenic assay in agar by enumerating the colonies grown on day 7 of culture established in the presence of different drug combinations.
  • the Combination Index (CI) was calculated as described in Materials and Methods. A a CI ⁇ 1 indicates that the interaction of the two drugs is synergistic.

Landscapes

  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Public Health (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Hematology (AREA)
  • Diabetes (AREA)
  • Oncology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
EP12705608.3A 2011-02-18 2012-02-17 mTOR/JAK INHIBITOR COMBINATION THERAPY Active EP2675451B9 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PL12705608T PL2675451T3 (pl) 2011-02-18 2012-02-17 Terapia skojarzona z inhibitorem mTOR/JAK

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201161444581P 2011-02-18 2011-02-18
US201161503789P 2011-07-01 2011-07-01
US201161503785P 2011-07-01 2011-07-01
PCT/US2012/025581 WO2012112847A1 (en) 2011-02-18 2012-02-17 mTOR/JAK INHIBITOR COMBINATION THERAPY

Publications (3)

Publication Number Publication Date
EP2675451A1 EP2675451A1 (en) 2013-12-25
EP2675451B1 EP2675451B1 (en) 2015-06-24
EP2675451B9 true EP2675451B9 (en) 2017-07-26

Family

ID=45755586

Family Applications (1)

Application Number Title Priority Date Filing Date
EP12705608.3A Active EP2675451B9 (en) 2011-02-18 2012-02-17 mTOR/JAK INHIBITOR COMBINATION THERAPY

Country Status (14)

Country Link
US (1) US9993480B2 (enExample)
EP (1) EP2675451B9 (enExample)
JP (1) JP5936628B2 (enExample)
KR (1) KR102024948B1 (enExample)
CN (1) CN103732226B (enExample)
AU (1) AU2012219395B2 (enExample)
BR (1) BR112013020798B1 (enExample)
CA (1) CA2827673C (enExample)
EA (1) EA026317B1 (enExample)
ES (1) ES2547916T3 (enExample)
MX (1) MX357939B (enExample)
PL (1) PL2675451T3 (enExample)
PT (1) PT2675451E (enExample)
WO (1) WO2012112847A1 (enExample)

Families Citing this family (49)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ATE525374T1 (de) 2005-12-13 2011-10-15 Incyte Corp Heteroarylsubstituierte pyrroloä2,3-büpyridine und pyrroloä2,3-büpyrimidine als januskinaseinhibitoren
CL2008001709A1 (es) 2007-06-13 2008-11-03 Incyte Corp Compuestos derivados de pirrolo [2,3-b]pirimidina, moduladores de quinasas jak; composicion farmaceutica; y uso en el tratamiento de enfermedades tales como cancer, psoriasis, artritis reumatoide, entre otras.
ES2467665T5 (es) 2007-06-13 2022-11-03 Incyte Holdings Corp Sales del inhibidor de cinasas Janus (R)-3-(4-(7H-pirrolo[2,3-d]pirimidin-4-il)-1H-pirazol-1-il)-3-ciclopentilpropanonitrilo
JOP20190231A1 (ar) 2009-01-15 2017-06-16 Incyte Corp طرق لاصلاح مثبطات انزيم jak و المركبات الوسيطة المتعلقة به
JP6172939B2 (ja) * 2009-05-22 2017-08-02 インサイト・ホールディングス・コーポレイションＩｎｃｙｔｅ Ｈｏｌｄｉｎｇｓ Ｃｏｒｐｏｒａｔｉｏｎ Ｊａｋ阻害薬としての３−［４−（７ｈ−ピロロ［２，３−ｄ］ピリミジン−４−イル）−１ｈ−ピラゾール−１−イル］オクタン−またはヘプタン−ニトリル
WO2010135650A1 (en) 2009-05-22 2010-11-25 Incyte Corporation N-(HETERO)ARYL-PYRROLIDINE DERIVATIVES OF PYRAZOL-4-YL-PYRROLO[2,3-d]PYRIMIDINES AND PYRROL-3-YL-PYRROLO[2,3-d]PYRIMIDINES AS JANUS KINASE INHIBITORS
TW201113285A (en) 2009-09-01 2011-04-16 Incyte Corp Heterocyclic derivatives of pyrazol-4-yl-pyrrolo[2,3-d]pyrimidines as janus kinase inhibitors
PE20130038A1 (es) 2010-03-10 2013-01-28 Incyte Corp Derivados de piperidin-4-il azetidina como inhibidores de jak1
KR102303885B1 (ko) 2010-05-21 2021-09-24 인사이트 홀딩스 코포레이션 Ｊａｋ 저해제에 대한 국소 제형
EA026201B1 (ru) 2010-11-19 2017-03-31 Инсайт Холдингс Корпорейшн Циклобутилзамещенные производные пирролопиридина и пирролопиримидина как ингибиторы jak
WO2012068440A1 (en) 2010-11-19 2012-05-24 Incyte Corporation Heterocyclic-substituted pyrrolopyridines and pyrrolopyrimidines as jak inhibitors
CN103732226B (zh) 2011-02-18 2016-01-06 诺瓦提斯药物公司 mTOR/JAK抑制剂组合疗法
CA2844407A1 (en) * 2011-06-14 2012-12-20 Novartis Ag Combination of panobinostat and ruxolitinib in the treatment of cancer such as a myeloproliferative neoplasm
CA2839767A1 (en) 2011-06-20 2012-12-27 Incyte Corporation Azetidinyl phenyl, pyridyl or pyrazinyl carboxamide derivatives as jak inhibitors
HK1198579A1 (en) 2011-08-10 2015-04-30 Novartis Pharma Ag Jak p13k/mtor combination therapy
TW201313721A (zh) 2011-08-18 2013-04-01 Incyte Corp 作為ｊａｋ抑制劑之環己基氮雜環丁烷衍生物
UA111854C2 (uk) 2011-09-07 2016-06-24 Інсайт Холдінгс Корпорейшн Способи і проміжні сполуки для отримання інгібіторів jak
MX2014005927A (es) * 2011-11-15 2014-06-05 Novartis Ag Combinacion de un inhibidor de la fosfoinositida-3-cinasa y un modulador de la senda del transductor y activador de la señal de transcripcion 5 de la cinasa janus 2.
US9193733B2 (en) 2012-05-18 2015-11-24 Incyte Holdings Corporation Piperidinylcyclobutyl substituted pyrrolopyridine and pyrrolopyrimidine derivatives as JAK inhibitors
BR112015009942A2 (pt) 2012-11-01 2017-07-11 Incyte Corp derivados de tiofeno fundidos tricíclicos como inibidores de jak
RS62329B1 (sr) 2012-11-15 2021-10-29 Incyte Holdings Corp Dozni oblici ruksolitiniba sa produženim vremenom oslobađanja
TR201820520T4 (tr) 2013-03-06 2019-01-21 Incyte Holdings Corp Bir jak inhibitörü yapmaya yönelik prosesler ve ara ürünler.
EP2994119A1 (en) * 2013-05-10 2016-03-16 CNIC Fundación Centro Nacional de Investigaciones Cardiovasculares Carlos III Compounds suitable for the treatment of myeloproliferative neoplasms
DK3030227T3 (da) 2013-08-07 2020-04-20 Incyte Corp Vedvarende frigivelses-doseringsformer for en jak1-inhibitor
US20150306112A1 (en) * 2014-04-25 2015-10-29 National Cheng Kung University Zhankuic acid A, a JAK2/3 tyrosine kinase inhibitor, and a potential therapeutic agent for hepatitis
MA39987A (fr) 2014-04-30 2017-03-08 Incyte Corp Procédés de préparation d'un inhibiteur de jak1 et nouvelles formes associées
US9956228B2 (en) * 2014-05-02 2018-05-01 Oncoethix Gmbh Method of treating acute myeloid leukemia and/or acute lymphoblastic leukemia using thienotriazolodiazepine compounds
WO2015184305A1 (en) 2014-05-30 2015-12-03 Incyte Corporation TREATMENT OF CHRONIC NEUTROPHILIC LEUKEMIA (CNL) AND ATYPICAL CHRONIC MYELOID LEUKEMIA (aCML) BY INHIBITORS OF JAK1
WO2016035014A1 (en) * 2014-09-01 2016-03-10 Sun Pharmaceutical Industries Limited Processes for the preparation of ruxolitinib phosphate
WO2016097773A1 (en) 2014-12-19 2016-06-23 Children's Cancer Institute Therapeutic iap antagonists for treating proliferative disorders
US10123997B2 (en) 2015-06-15 2018-11-13 Yong Liao Target for treating hepatitis B virus
EP3628006A4 (en) * 2017-05-16 2021-07-21 Generos Biopharma Ltd. COMPOSITIONS AND METHODS OF TREATMENT FOR RHEUMATOID ARTHRITIS
WO2019113487A1 (en) 2017-12-08 2019-06-13 Incyte Corporation Low dose combination therapy for treatment of myeloproliferative neoplasms
WO2019152374A1 (en) 2018-01-30 2019-08-08 Incyte Corporation Processes for preparing (1 -(3-fluoro-2-(trifluoromethyl)isonicotinyl)piperidine-4-one)
US11103510B2 (en) 2018-02-16 2021-08-31 Incyte Corporation JAK1 pathway inhibitors for the treatment of cytokine-related disorders
WO2019191679A1 (en) 2018-03-30 2019-10-03 Incyte Corporation Biomarkers for inflammatory skin disease
CA3095487A1 (en) 2018-03-30 2019-10-03 Incyte Corporation Treatment of hidradenitis suppurativa using jak inhibitors
JP7378420B2 (ja) 2018-04-13 2023-11-13 インサイト・コーポレイション 移植片対宿主病のバイオマーカー
JP7431845B2 (ja) 2018-10-31 2024-02-15 インサイト・コーポレイション 血液疾患の治療のための併用療法
WO2021013942A1 (en) * 2019-07-24 2021-01-28 INSERM (Institut National de la Santé et de la Recherche Médicale) Use of myeloperoxidase inhibitors for the treatment of cardiovascular diseases in patients suffering from myeloproliferative neoplasms
JP2022549506A (ja) 2019-09-27 2022-11-25 ディスク・メディシン・インコーポレイテッド 骨髄線維症および関連状態を処置するための方法
US12360120B2 (en) 2019-10-10 2025-07-15 Incyte Corporation Biomarkers for graft-versus-host disease
WO2021072116A1 (en) 2019-10-10 2021-04-15 Incyte Corporation Biomarkers for graft-versus-host disease
WO2021102258A1 (en) 2019-11-22 2021-05-27 Incyte Corporation Combination therapy comprising an alk2 inhibitor and a jak2 inhibitor
EP4149548A4 (en) 2020-05-13 2024-05-08 Disc Medicine, Inc. ANTI-HEMOJUVELIN ANTIBODIES (HJV) FOR THE TREATMENT OF MYELOFIBROSIS
US11833155B2 (en) 2020-06-03 2023-12-05 Incyte Corporation Combination therapy for treatment of myeloproliferative neoplasms
CA3204374A1 (en) 2020-12-08 2022-06-16 Incyte Corporation Jak1 pathway inhibitors for the treatment of vitiligo
EP4188377B8 (en) * 2021-03-23 2024-04-03 Cellworks Group Inc. Combination comprising chloroquine, metformin and statin for management of cancer, composition and methods thereof
FI4333840T3 (fi) 2021-05-03 2025-12-12 Incyte Corp Jak1-reitin estäjiä kyhmykutinan hoitoon

Family Cites Families (114)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3036390A1 (de) 1980-09-26 1982-05-13 Troponwerke GmbH & Co KG, 5000 Köln Neue pyrrolo-pyrimidine, verfahren zu ihrer herstellung und ihre verwendung bei der herstellung von biologischen wirkstoffen
US5521184A (en) 1992-04-03 1996-05-28 Ciba-Geigy Corporation Pyrimidine derivatives and processes for the preparation thereof
GB9221220D0 (en) 1992-10-09 1992-11-25 Sandoz Ag Organic componds
PL314238A1 (en) 1993-12-17 1996-09-02 Sandoz Ltd Rapamycin derivatives
US5362718A (en) 1994-04-18 1994-11-08 American Home Products Corporation Rapamycin hydroxyesters
ATE228135T1 (de) 1995-06-09 2002-12-15 Novartis Erfind Verwalt Gmbh Rapamycinderivate
DE69618959T2 (de) 1995-07-05 2002-08-29 E.I. Du Pont De Nemours And Co., Wilmington Pyrimidone und ihre verwendug als fungizide
AU735648B2 (en) 1996-07-12 2001-07-12 Ariad Pharmaceuticals, Inc. Materials and method for treating or preventing pathogenic fungal infection
TW557297B (en) 1997-09-26 2003-10-11 Abbott Lab Rapamycin analogs having immunomodulatory activity, and pharmaceutical compositions containing same
CN1332743A (zh) 1998-06-04 2002-01-23 艾博特公司 抑制细胞粘附抗炎化合物
US6232320B1 (en) 1998-06-04 2001-05-15 Abbott Laboratories Cell adhesion-inhibiting antiinflammatory compounds
PA8474101A1 (es) 1998-06-19 2000-09-29 Pfizer Prod Inc Compuestos de pirrolo [2,3-d] pirimidina
WO1999065908A1 (en) 1998-06-19 1999-12-23 Pfizer Products Inc. PYRROLO[2,3-d]PYRIMIDINE COMPOUNDS
JP4516690B2 (ja) 1998-08-11 2010-08-04 ノバルティス アーゲー 血管形成阻害活性を有するイソキノリン誘導体
US6133031A (en) 1999-08-19 2000-10-17 Isis Pharmaceuticals Inc. Antisense inhibition of focal adhesion kinase expression
GB9905075D0 (en) 1999-03-06 1999-04-28 Zeneca Ltd Chemical compounds
IL147803A0 (en) 1999-08-24 2002-08-14 Ariad Gene Therapeutics Inc 28-epirapalogs
GEP20053479B (en) 1999-12-10 2005-03-25 Pfizer Prod Inc Pyrrolo[2,3-d]Pyrimidine Compounds, Pharmaceutical Composition Containing the Same and Use
CN100379734C (zh) 1999-12-24 2008-04-09 阿文蒂斯药物有限公司 氮杂吲哚类化合物
GB0004890D0 (en) 2000-03-01 2000-04-19 Astrazeneca Uk Ltd Chemical compounds
WO2001081345A1 (en) 2000-04-20 2001-11-01 Mitsubishi Pharma Corporation Aromatic amide compounds
US6335342B1 (en) 2000-06-19 2002-01-01 Pharmacia & Upjohn S.P.A. Azaindole derivatives, process for their preparation, and their use as antitumor agents
CA2413313C (en) 2000-06-23 2011-06-14 Mitsubishi Pharma Corporation Antitumor effect potentiators
EA006153B1 (ru) 2000-06-26 2005-10-27 Пфайзер Продактс Инк. СОЕДИНЕНИЯ ПИРРОЛО[2,3-d]ПИРИМИДИНА В КАЧЕСТВЕ ИММУНОДЕПРЕССАНТОВ
DE60105023T2 (de) 2000-06-28 2005-08-18 Smithkline Beecham P.L.C., Brentford Nassvermahlungsverfahren
GB0100622D0 (en) 2001-01-10 2001-02-21 Vernalis Res Ltd Chemical compounds V111
WO2002060492A1 (en) 2001-01-30 2002-08-08 Cytopia Pty Ltd Methods of inhibiting kinases
EP1404669A2 (en) 2001-05-16 2004-04-07 Vertex Pharmaceuticals Incorporated Heterocyclic substituted pyrazoles as inhibitors of src and other protein kinases
US7301023B2 (en) 2001-05-31 2007-11-27 Pfizer Inc. Chiral salt resolution
WO2003011285A1 (en) 2001-08-01 2003-02-13 Merck & Co., Inc. BENZIMIDAZO[4,5-f]ISOQUINOLINONE DERIVATIVES
AU2002337142B2 (en) 2001-09-19 2007-10-11 Aventis Pharma S.A. Indolizines as kinase protein inhibitors
DK1441737T3 (da) 2001-10-30 2006-11-13 Novartis Ag Staurosporin-derivater som inhibitorer af FLT3-receptor-tyrosinkinase-aktivitet
GT200200234A (es) 2001-12-06 2003-06-27 Compuestos cristalinos novedosos
TW200403058A (en) 2002-04-19 2004-03-01 Bristol Myers Squibb Co Heterocyclo inhibitors of potassium channel function
WO2003091246A1 (en) 2002-04-26 2003-11-06 Vertex Pharmaceuticals Incorporated Pyrrole derivatives as inhibitors of erk2 and uses thereof
AR037647A1 (es) 2002-05-29 2004-12-01 Novartis Ag Derivados de diarilurea utiles para el tratamiento de enfermedades dependientes de la cinasa de proteina
GB0215676D0 (en) 2002-07-05 2002-08-14 Novartis Ag Organic compounds
AU2003252478A1 (en) 2002-07-10 2004-02-02 Ono Pharmaceutical Co., Ltd. Ccr4 antagonist and medicinal use thereof
EP1562938B1 (en) 2002-11-04 2007-08-29 Vertex Pharmaceuticals Incorporated Heteroaryl-pyrimidine derivatives as jak inhibitors
AR042052A1 (es) 2002-11-15 2005-06-08 Vertex Pharma Diaminotriazoles utiles como inhibidores de proteinquinasas
AU2003276591A1 (en) 2002-11-26 2004-06-18 Pfizer Products Inc. Method of treatment of transplant rejection
UA80767C2 (en) 2002-12-20 2007-10-25 Pfizer Prod Inc Pyrimidine derivatives for the treatment of abnormal cell growth
CA2515132C (en) 2003-02-07 2012-01-03 Vertex Pharmaceuticals Incorporated Heteroaryl substituted pyrroles useful as inhibitors of protein kinases
GB0305929D0 (en) 2003-03-14 2003-04-23 Novartis Ag Organic compounds
SE0301372D0 (sv) 2003-05-09 2003-05-09 Astrazeneca Ab Novel compounds
SE0301373D0 (sv) 2003-05-09 2003-05-09 Astrazeneca Ab Novel compounds
US20050043346A1 (en) 2003-08-08 2005-02-24 Pharmacia Italia S.P.A. Pyridylpyrrole derivatives active as kinase inhibitors
PE20050952A1 (es) 2003-09-24 2005-12-19 Novartis Ag Derivados de isoquinolina como inhibidores de b-raf
MXPA06005882A (es) 2003-11-25 2006-06-27 Pfizer Prod Inc Metodo de tratamiento de la aterosclerosis.
CA2549485A1 (en) 2003-12-17 2005-07-07 Pfizer Products Inc. Pyrrolo [2,3-d] pyrimidine compounds for treating transplant rejection
WO2005069865A2 (en) 2004-01-13 2005-08-04 Ambit Biosciences Corporation Pyrrolopyrimidine derivatives and analogs and their use in the treatment and prevention of diseases
DE602005027825D1 (de) 2004-03-30 2011-06-16 Vertex Pharma Als inhibitoren von jak und anderen proteinkinasen geeignete azaindole
WO2005105814A1 (en) 2004-04-28 2005-11-10 Incyte Corporation Tetracyclic inhibitors of janus kinases
US7558717B2 (en) 2004-04-28 2009-07-07 Vertex Pharmaceuticals Incorporated Crystal structure of human JAK3 kinase domain complex and binding pockets thereof
KR20070006889A (ko) 2004-05-03 2007-01-11 노파르티스 아게 Ｓ1ｐ 수용체 작용제 및 ｊａｋ3 키나제 억제제를 포함하는조합물
JP2007537296A (ja) 2004-05-14 2007-12-20 アボット・ラボラトリーズ 治療薬としてのキナーゼ阻害薬
PE20060426A1 (es) 2004-06-02 2006-06-28 Schering Corp DERIVADOS DE ACIDO TARTARICO COMO INHIBIDORES DE MMPs, ADAMs, TACE Y TNF-alfa
US8039674B2 (en) 2004-06-23 2011-10-18 Ono Pharmaceutical Co., Ltd. Compound having S1P receptor binding potency and use thereof
WO2006013114A1 (en) 2004-08-06 2006-02-09 Develogen Aktiengesellschaft Use of a timp-2 secreted protein product for preventing and treating pancreatic diseases and/or obesity and/or metabolic syndrome
MY179032A (en) 2004-10-25 2020-10-26 Cancer Research Tech Ltd Ortho-condensed pyridine and pyrimidine derivatives (e.g.purines) as protein kinase inhibitors
UY29177A1 (es) 2004-10-25 2006-05-31 Astex Therapeutics Ltd Derivados sustituidos de purina, purinona y deazapurina, composiciones que los contienen métodos para su preparación y sus usos
AU2005309019A1 (en) 2004-11-24 2006-06-01 Novartis Ag Combinations of JAK inhibitors and at least one of Bcr-Abl, Flt-3, FAK or RAF kinase inhibitors
AR054416A1 (es) 2004-12-22 2007-06-27 Incyte Corp Pirrolo [2,3-b]piridin-4-il-aminas y pirrolo [2,3-b]pirimidin-4-il-aminas como inhibidores de las quinasas janus. composiciones farmaceuticas.
JP5227032B2 (ja) 2005-02-03 2013-07-03 バーテックス ファーマシューティカルズ インコーポレイテッド プロテインキナーゼの阻害剤として有用なピロロピリミジン
GB0510139D0 (en) 2005-05-18 2005-06-22 Addex Pharmaceuticals Sa Novel compounds B1
US8921376B2 (en) 2005-05-20 2014-12-30 Vertex Pharmaceuticals Incorporated Pyrrolopyridines useful as inhibitors of protein kinase
GB0510390D0 (en) 2005-05-20 2005-06-29 Novartis Ag Organic compounds
WO2006136823A1 (en) 2005-06-21 2006-12-28 Astex Therapeutics Limited Heterocyclic containing amines as kinase b inhibitors
PL1893612T3 (pl) 2005-06-22 2012-01-31 Plexxikon Inc Pochodne pirolo-[2,3-b]pirydyny jako inhibitory kinazy białkowej
CN102127078A (zh) 2005-07-14 2011-07-20 安斯泰来制药株式会社 Janus激酶3的杂环类抑制剂
WO2007025090A2 (en) 2005-08-25 2007-03-01 Kalypsys, Inc. Heterobicyclic and - tricyclic inhibitors of mapk/erk kinase
WO2007038215A1 (en) 2005-09-22 2007-04-05 Incyte Corporation Tetracyclic inhibitors of janus kinases
KR20080063809A (ko) 2005-09-30 2008-07-07 버텍스 파마슈티칼스 인코포레이티드 야누스 키나아제의 억제제로서 유용한 데아자퓨린
JP2009511935A (ja) 2005-10-18 2009-03-19 ジョージ メイソン インテレクチュアル プロパティーズ インク． ｍＴＯＲ経路テラノスティック
WO2007062459A1 (en) 2005-11-29 2007-06-07 Cytopia Research Pty Ltd Selective kinase inhibitors based on pyridine scaffold
US20130137681A1 (en) 2005-12-13 2013-05-30 Incyte Corporation HETEROARYL SUBSTITUTED PYRROLO[2,3-b]PYRIDINES AND PYRROLO[2,3-b]PYRIMIDINES AS JANUS KINASE INHIBITORS
ATE525374T1 (de) 2005-12-13 2011-10-15 Incyte Corp Heteroarylsubstituierte pyrroloä2,3-büpyridine und pyrroloä2,3-büpyrimidine als januskinaseinhibitoren
WO2007076423A2 (en) 2005-12-22 2007-07-05 Smithkline Beecham Corporation INHIBITORS OF Akt ACTIVITY
EP2537849A3 (en) 2006-01-17 2013-04-03 Vertex Pharmaceuticals, Inc. Azaindoles useful as inhibitors of janus kinases
WO2007084667A2 (en) 2006-01-19 2007-07-26 Osi Pharmaceutical, Inc. Fused heterobicyclic kinase inhibitors
US20090018156A1 (en) 2006-02-01 2009-01-15 Jun Tang Pyrrolo [2,3,B] Pyridine Derivatives Useful As RAF Kinase Inhibitors
CA2648250A1 (en) 2006-04-05 2007-10-18 Vertex Pharmaceuticals Incorporated Deazapurines useful as inhibitors of janus kinases
EP1898396A1 (en) 2006-09-07 2008-03-12 Deutsche Thomson-Brandt Gmbh Method and apparatus for encoding/decoding symbols carrying payload data for watermarking of an audio or video signal
JP5492565B2 (ja) 2006-12-22 2014-05-14 インサイト・コーポレイション Ｊａｎｕｓキナーゼ阻害剤としての置換複素環
GB0710528D0 (en) 2007-06-01 2007-07-11 Glaxo Group Ltd Novel compounds
CL2008001709A1 (es) 2007-06-13 2008-11-03 Incyte Corp Compuestos derivados de pirrolo [2,3-b]pirimidina, moduladores de quinasas jak; composicion farmaceutica; y uso en el tratamiento de enfermedades tales como cancer, psoriasis, artritis reumatoide, entre otras.
ES2467665T5 (es) 2007-06-13 2022-11-03 Incyte Holdings Corp Sales del inhibidor de cinasas Janus (R)-3-(4-(7H-pirrolo[2,3-d]pirimidin-4-il)-1H-pirazol-1-il)-3-ciclopentilpropanonitrilo
WO2009049028A1 (en) 2007-10-09 2009-04-16 Targegen Inc. Pyrrolopyrimidine compounds and their use as janus kinase modulators
JP5480813B2 (ja) 2007-11-16 2014-04-23 インサイト・コーポレイション Ｊａｎｕｓキナーゼ阻害剤としての置換複素環
AU2009209235B2 (en) 2008-01-30 2013-07-18 Cephalon, Inc. Substituted spirocyclic piperidine derivatives as histamine-3 (H3) receptor ligands
SG191660A1 (en) 2008-03-11 2013-07-31 Incyte Corp Azetidine and cyclobutane derivatives as jak inhibitors
KR101084528B1 (ko) 2008-04-15 2011-11-18 인비트로겐 싱가포르 피티이. 엘티디. 전기천공 장치용 파이펫 팁
US20110129456A1 (en) * 2008-05-05 2011-06-02 Yaolin Wang Sequential Administration of Chemotherapeutic Agents for Treatment of Cancer
CL2009001884A1 (es) 2008-10-02 2010-05-14 Incyte Holdings Corp Uso de 3-ciclopentil-3-[4-(7h-pirrolo[2,3-d]pirimidin-4-il)-1h-pirazol-1-il)propanonitrilo, inhibidor de janus quinasa, y uso de una composición que lo comprende para el tratamiento del ojo seco.
US8110578B2 (en) 2008-10-27 2012-02-07 Signal Pharmaceuticals, Llc Pyrazino[2,3-b]pyrazine mTOR kinase inhibitors for oncology indications and diseases associated with the mTOR/PI3K/Akt pathway
US20100209929A1 (en) * 2009-01-14 2010-08-19 Nodality, Inc., A Delaware Corporation Multiple mechanisms for modulation of jak/stat activity
JOP20190231A1 (ar) 2009-01-15 2017-06-16 Incyte Corp طرق لاصلاح مثبطات انزيم jak و المركبات الوسيطة المتعلقة به
EP2210890A1 (en) 2009-01-19 2010-07-28 Almirall, S.A. Oxadiazole derivatives as S1P1 receptor agonists
WO2010108328A1 (en) 2009-03-27 2010-09-30 Rht Limited Rejuvenated foam support filter
JP6172939B2 (ja) 2009-05-22 2017-08-02 インサイト・ホールディングス・コーポレイションＩｎｃｙｔｅ Ｈｏｌｄｉｎｇｓ Ｃｏｒｐｏｒａｔｉｏｎ Ｊａｋ阻害薬としての３−［４−（７ｈ−ピロロ［２，３−ｄ］ピリミジン−４−イル）−１ｈ−ピラゾール−１−イル］オクタン−またはヘプタン−ニトリル
WO2010135650A1 (en) 2009-05-22 2010-11-25 Incyte Corporation N-(HETERO)ARYL-PYRROLIDINE DERIVATIVES OF PYRAZOL-4-YL-PYRROLO[2,3-d]PYRIMIDINES AND PYRROL-3-YL-PYRROLO[2,3-d]PYRIMIDINES AS JANUS KINASE INHIBITORS
TW201113285A (en) 2009-09-01 2011-04-16 Incyte Corp Heterocyclic derivatives of pyrazol-4-yl-pyrrolo[2,3-d]pyrimidines as janus kinase inhibitors
KR101805936B1 (ko) 2009-10-09 2017-12-07 인사이트 홀딩스 코포레이션 3-（4-（7Ｈ-피롤로〔2,3-ｄ〕피리미딘-4-일）-1Ｈ-피라졸-1-일）-3-사이클로펜틸프로판니트릴의 하이드록실, 케토 및 글루쿠로나이드 유도체
BR112012020693B1 (pt) 2010-02-18 2020-05-12 Incyte Holdings Corporation Derivados de ciclobutano e metilciclobutano como inibidores de janus quinase e composição que os compreende
PE20130038A1 (es) 2010-03-10 2013-01-28 Incyte Corp Derivados de piperidin-4-il azetidina como inhibidores de jak1
KR102303885B1 (ko) 2010-05-21 2021-09-24 인사이트 홀딩스 코포레이션 Ｊａｋ 저해제에 대한 국소 제형
US20140031308A1 (en) * 2010-09-08 2014-01-30 Longo Diane Benchmarks for normal cell identification
WO2012068440A1 (en) 2010-11-19 2012-05-24 Incyte Corporation Heterocyclic-substituted pyrrolopyridines and pyrrolopyrimidines as jak inhibitors
EA026201B1 (ru) 2010-11-19 2017-03-31 Инсайт Холдингс Корпорейшн Циклобутилзамещенные производные пирролопиридина и пирролопиримидина как ингибиторы jak
CN103732226B (zh) 2011-02-18 2016-01-06 诺瓦提斯药物公司 mTOR/JAK抑制剂组合疗法
CA2839767A1 (en) 2011-06-20 2012-12-27 Incyte Corporation Azetidinyl phenyl, pyridyl or pyrazinyl carboxamide derivatives as jak inhibitors
HK1198579A1 (en) 2011-08-10 2015-04-30 Novartis Pharma Ag Jak p13k/mtor combination therapy
TW201313721A (zh) 2011-08-18 2013-04-01 Incyte Corp 作為ｊａｋ抑制劑之環己基氮雜環丁烷衍生物
UA111854C2 (uk) 2011-09-07 2016-06-24 Інсайт Холдінгс Корпорейшн Способи і проміжні сполуки для отримання інгібіторів jak

Also Published As

Publication number Publication date
WO2012112847A1 (en) 2012-08-23
KR102024948B1 (ko) 2019-11-04
EA026317B1 (ru) 2017-03-31
ES2547916T3 (es) 2015-10-09
MX2013009351A (es) 2014-01-08
US20120214825A1 (en) 2012-08-23
EP2675451A1 (en) 2013-12-25
CA2827673A1 (en) 2012-08-23
JP2014505735A (ja) 2014-03-06
JP5936628B2 (ja) 2016-06-22
EP2675451B1 (en) 2015-06-24
PT2675451E (pt) 2015-10-16
US9993480B2 (en) 2018-06-12
CN103732226A (zh) 2014-04-16
AU2012219395A1 (en) 2013-08-29
CN103732226B (zh) 2016-01-06
AU2012219395B2 (en) 2017-05-25
BR112013020798B1 (pt) 2022-03-15
BR112013020798A2 (pt) 2016-10-04
MX357939B (es) 2018-07-31
PL2675451T3 (pl) 2016-05-31
KR20140082591A (ko) 2014-07-02
EA201391208A1 (ru) 2013-12-30
CA2827673C (en) 2020-10-27

Similar Documents

Publication Publication Date Title
EP2675451B9 (en) mTOR/JAK INHIBITOR COMBINATION THERAPY
EP2531194B1 (en) Identification of lkb1 mutation as a predictive biomarker for sensitivity to tor kinase inhibitors
EP3038652B1 (en) Combination of an alk inhibitor and a cdk inhibitor for the treatment of cell proliferative diseases
EP2885003B1 (en) Combination of pi3k inhibitor and c-met inhibitor
AU2016202503A1 (en) Combination of a phosphoinositide 3-kinase inhibitor and a modulator of the Janus Kinase 2-signal Transducer and Activator of Transcription 5 pathway
Tarantelli et al. Copanlisib synergizes with conventional and targeted agents including venetoclax in B-and T-cell lymphoma models
UA125216C2 (uk) Комбінована терапія
KR20160020502A (ko) 제약 조합물
CN105473142A (zh) 用二氢吡嗪并-吡嗪治疗癌症
JP2019038821A (ja) Ｐｉｍキナーゼ阻害剤の組合せ
KR20160090814A (ko) Jak, cdk 및 pim의 억제제를 포함하는 조합 요법
Pandey et al. Targeting phosphatidylinositol-3-kinase pathway for the treatment of Philadelphia-negative myeloproliferative neoplasms
Baskin Characterization of Jak2 small molecule inhibitors for cancer therapy and examination of novel cell survival signaling mechanisms
EP3380097A2 (en) Pharmaceutical combination comprising (a) the alpha-isoform specific pi3k inhibitor alpelisib (byl719) and (b) an akt inhibitor, preferably mk-2206, afuresertib or uprosertib, and the use thereof in the treatment/prevention of cancer

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

17P Request for examination filed

Effective date: 20130918

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

AX Request for extension of the european patent

Extension state: BA ME

17Q First examination report despatched

Effective date: 20140707

GRAP Despatch of communication of intention to grant a patent

Free format text: ORIGINAL CODE: EPIDOSNIGR1

INTG Intention to grant announced

Effective date: 20150107

RIC1 Information provided on ipc code assigned before grant

Ipc: A61P 35/00 20060101ALI20141212BHEP

Ipc: A61K 31/436 20060101AFI20141212BHEP

Ipc: A61K 31/519 20060101ALI20141212BHEP

GRAS Grant fee paid

Free format text: ORIGINAL CODE: EPIDOSNIGR3

GRAA (expected) grant

Free format text: ORIGINAL CODE: 0009210

AK Designated contracting states

Kind code of ref document: B1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

AX Request for extension of the european patent

Extension state: BA ME

REG Reference to a national code

Ref country code: GB

Ref legal event code: FG4D

REG Reference to a national code

Ref country code: CH

Ref legal event code: EP

REG Reference to a national code

Ref country code: AT

Ref legal event code: REF

Ref document number: 732603

Country of ref document: AT

Kind code of ref document: T

Effective date: 20150715

REG Reference to a national code

Ref country code: IE

Ref legal event code: FG4D

REG Reference to a national code

Ref country code: DE

Ref legal event code: R096

Ref document number: 602012008209

Country of ref document: DE

RAP2 Party data changed (patent owner data changed or rights of a patent transferred)

Owner name: INCYTE CORPORATION

Owner name: NOVARTIS PHARMA AG

REG Reference to a national code

Ref country code: ES

Ref legal event code: FG2A

Ref document number: 2547916

Country of ref document: ES

Kind code of ref document: T3

Effective date: 20151009

REG Reference to a national code

Ref country code: PT

Ref legal event code: SC4A

Free format text: AVAILABILITY OF NATIONAL TRANSLATION

Effective date: 20150921

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: NO

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150924

Ref country code: LT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

Ref country code: FI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

Ref country code: HR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

REG Reference to a national code

Ref country code: LT

Ref legal event code: MG4D

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: RS

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

Ref country code: LV

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

Ref country code: BG

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150924

REG Reference to a national code

Ref country code: GR

Ref legal event code: EP

Ref document number: 20150401956

Country of ref document: GR

Effective date: 20151022

REG Reference to a national code

Ref country code: NL

Ref legal event code: MP

Effective date: 20150624

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: EE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 5

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: CZ

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

Ref country code: IS

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20151024

Ref country code: SK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

Ref country code: RO

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20150624

REG Reference to a national code

Ref country code: DE

Ref legal event code: R026

Ref document number: 602012008209

Country of ref document: DE

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: NL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

PLBI Opposition filed

Free format text: ORIGINAL CODE: 0009260

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: DK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

PLAX Notice of opposition and request to file observation + time limit sent

Free format text: ORIGINAL CODE: EPIDOSNOBS2

26 Opposition filed

Opponent name: GENERICS (U.K.) LIMITED

Effective date: 20160324

REG Reference to a national code

Ref country code: NL

Ref legal event code: FP

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: SI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

PLBB Reply of patent proprietor to notice(s) of opposition received

Free format text: ORIGINAL CODE: EPIDOSNOBS3

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: LU

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20160217

Ref country code: MC

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

REG Reference to a national code

Ref country code: IE

Ref legal event code: MM4A

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: IE

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20160217

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 6

PLCK Communication despatched that opposition was rejected

Free format text: ORIGINAL CODE: EPIDOSNREJ1

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: THE PATENT HAS BEEN GRANTED

REG Reference to a national code

Ref country code: AT

Ref legal event code: UEP

Ref document number: 732603

Country of ref document: AT

Kind code of ref document: T

Effective date: 20150624

REG Reference to a national code

Ref country code: DE

Ref legal event code: R100

Ref document number: 602012008209

Country of ref document: DE

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: SE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: MT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

PLBN Opposition rejected

Free format text: ORIGINAL CODE: 0009273

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: OPPOSITION REJECTED

27O Opposition rejected

Effective date: 20170616

REG Reference to a national code

Ref country code: FR

Ref legal event code: PLFP

Year of fee payment: 7

REG Reference to a national code

Ref country code: BE

Ref legal event code: FP

Effective date: 20150917

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: HU

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT; INVALID AB INITIO

Effective date: 20120217

Ref country code: SM

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

Ref country code: CY

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: MT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20160229

Ref country code: MK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: AL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: NL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20150624

PGRI Patent reinstated in contracting state [announced from national office to epo]

Ref country code: NL

Effective date: 20160720

REG Reference to a national code

Ref country code: DE

Ref legal event code: R082

Ref document number: 602012008209

Country of ref document: DE

Representative=s name: D YOUNG & CO LLP, DE

P01 Opt-out of the competence of the unified patent court (upc) registered

Effective date: 20230526

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: NL

Payment date: 20250127

Year of fee payment: 14

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: PT

Payment date: 20250217

Year of fee payment: 14

Ref country code: DE

Payment date: 20250114

Year of fee payment: 14

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: ES

Payment date: 20250305

Year of fee payment: 14

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: AT

Payment date: 20250127

Year of fee payment: 14

Ref country code: GR

Payment date: 20250127

Year of fee payment: 14

Ref country code: CH

Payment date: 20250301

Year of fee payment: 14

Ref country code: BE

Payment date: 20250123

Year of fee payment: 14

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: FR

Payment date: 20250121

Year of fee payment: 14

Ref country code: PL

Payment date: 20250129

Year of fee payment: 14

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: GB

Payment date: 20250116

Year of fee payment: 14

Ref country code: IT

Payment date: 20250129

Year of fee payment: 14

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: TR

Payment date: 20250130

Year of fee payment: 14